Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

German Badilla Gordove Jr., RN, PCCN, AGACNP-BC

Individual provider Gerontology Nurse Practitioner · NPI 1932937174

German Badilla Gordove Jr., RN, PCCN, AGACNP-BC is a Nurse Practitioner in Sacramento, California. Qualified in 2024, 2 years ago. Practices with Regents of the Univ of Ca, a 1,578-clinician group and accepts Medicare assignment. Licensed in California.

Years since qualifying
2
Licensed in
CA
In the registry since
2024
Specialties on file
2
What do these letters mean?
RN — Registered Nurse
A licensed nurse who completed a nursing degree and passed the NCLEX-RN examination.

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Practice location Address checks out

2315 Stockton Blvd
Sacramento, CA 95817-2201
Phone: (916) 734-5590
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acute Care Nurse Practitioner (primary) Taxonomy 363LA2100X · Licence 95030128 (CA)
Gerontology Nurse Practitioner Taxonomy 363LG0600X · Licence 95030128 (CA)

Record details

NPI number1932937174
Entity typeIndividual (Type 1)
GenderMale
Credentials RN , PCCN , AGACNP-BC
Sole proprietorYes
NPI enumeratedJuly 22, 2024
Last updated in NPPESSeptember 17, 2024
Certification dateSeptember 17, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice Regents Of The Univ Of Ca — 1578 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Sacramento